Individual
DIANE N FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 829-6191
(509) 826-3029
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 829-6191
(509) 826-3029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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